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Inquiry-form hotflex®

Personal data
1. Personal data
2. Title:*
3. First Name:*
4. Name:*
5. Company:
6. VAT-No:*
Personal data 2
2. Position:
3. Street:
4. ZIP / City:
6. Country:
Personal data 3
2. Phone:
3. Fax:
4. Customer no.:
5. E-Mail:*
Commercial data
1. Commercial data
2. Article number:
3. Quantities
4. Quantity:
5. Quantity unit:
6. Application:
Technical characteristics
1. Technical characteristics
2. Outer-Ø:
3. or other:
4. Outer-Ø-toler.:
5. Length to 1500mm:
6. Length-toler.:
7. Wattage:
8. Wattage-toler.:
9. Voltage (max. 250V):
10. Thermocouple:
Connection
1. Connection
2. Connection type:
3. Conn. length:
4. Conn. cross section:
5. Connection fix:
6. Plug
7. Plug: